DEPARTMENT OF INSURANCE

Affiliations

Name	Acrimount, LLC DBA : Madison Brokerage Corp	DOIID	1110668	NAIC NPN	18992074

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	License Expiration Date
Active	Non Resident	Agent	Life	11/16/2020	3/31/2026
Active	Non Resident	Agent	Health	11/16/2020	3/31/2026
Active	Non Resident	Agent	Casualty	11/16/2020	3/31/2026
Active	Non Resident	Agent	Property	11/16/2020	3/31/2026
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Active	American National Insurance Company	301861	Agent - Life	3/31/2022
Active	Amica Life Insurance Company	301676	Agent - Life	9/5/2023
Active	Banner Life Insurance Company	301696	Agent - Life	10/17/2023
Inactive	Cincinnati Life Insurance Company (The)	300601	Agent - Health	6/13/2022	12/26/2024
Active	Cincinnati Life Insurance Company (The)	300601	Agent - Life	2/21/2025
Active	Gerber Life Insurance Company	300529	Agent - Health	11/16/2022
Active	Gerber Life Insurance Company	300529	Agent - Life	11/16/2022
Active	Integrity Life Insurance Company	301687	Agent - Life	6/26/2024
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Health	10/11/2023
Active	John Hancock Life Insurance Company (U.S.A.)	300132	Agent - Life	10/11/2023
Active	Life Insurance Company of the Southwest	301867	Agent - Health	12/21/2022
Active	Life Insurance Company of the Southwest	301867	Agent - Life	12/21/2022
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Health	10/24/2023
Active	Lincoln National Life Insurance Company (The)	301382	Agent - Life	10/24/2023
Active	Massachusetts Mutual Life Insurance Company	300445	Agent - Life	8/31/2022
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Health	2/22/2022
Active	Nationwide Life and Annuity Insurance Company	300714	Agent - Life	2/22/2022
Active	Principal National Life Insurance Company	301926	Agent - Life	2/7/2025
Active	Pruco Life Insurance Company	300954	Agent - Life	4/18/2022
Active	Symetra Life Insurance Company	301691	Agent - Health	2/26/2025
Active	Symetra Life Insurance Company	301691	Agent - Life	2/26/2025

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date
Active	Kolenda, Courtney Lynne	1022910	Agent - Casualty	11/16/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Health	11/16/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Life	11/16/2020
Active	Kolenda, Courtney Lynne	1022910	Agent - Property	11/16/2020